| NPI | 1255645008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 257734) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 4543) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NM MD20160063) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2021-03-31 |